Cultural Awareness - 360 Degree Feedback Survey Sample #12

360 Feedback Survey

Instructions

We appreciate you taking the time to provide valuable feedback for the individual mentioned above. As you respond, please draw on your first-hand experience with this individual in the past 12 months. Your insights are crucial in offering a comprehensive evaluation. Please rate each item using the scale provided. If you find that you do not have sufficient first-hand knowledge to rate a particular item, select the Not Applicable option.

In addition to the ratings, we encourage you to include comments where possible. These comments are particularly useful when you give a very high or very low rating, as they provide context and clarity regarding your assessment. Explaining your reasons in the comment section helps ensure that your feedback is constructive and actionable.

Your responses, combined with feedback from other contributors, will be compiled and presented to the individual. This collective feedback aims to support their continuous growth and development by highlighting strengths and identifying areas for improvement. Your thoughtful participation is essential in helping them achieve their full potential.

Partially completed forms can be saved by using the Save/Still Working button at the bottom of the page. You may return at a later time to complete/edit the form. Your saved responses will be shown each time you re-visit the feedback form. When you are certain that you have completed your responses and will be not making any changes, click the Complete button.

To what extent does [Participant Name] exhibit the following ...

SELECT the rating that best reflects the employee's performance in the areas listed.

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Cultural Awareness

• Understands what customs and etiquette are important for individuals from other cultures.
• Creates safe spaces for employees to share cultural perspectives and experiences.
• Participates in cultural training sessions/classes.
• Welcomes diverse cultural input when shaping organizational strategy or policy.
• Seeks knowledge and information about other cultures.

Needs Improvement		Fully Proficient		Excels/ Role Model
Click this box to make your rating

Comments:

Problem Solving

• Quantifies the discrepancy between expected outcomes and measures of performance.
• Implements solutions and evaluates results.
• Able to solve problems that involve political biases, conflicting evidence, and/or lack of data.
• Identifies fresh approaches and shows a willingness to question traditional assumptions.
• Compares analogous situations transferring insights to new situations.

Needs Improvement		Fully Proficient		Excels/ Role Model
Click this box to make your rating

Comments:

Technical

• Willingly shares his/her technical expertise; sought out as resource by others
• Keeps current with technical advances within his/her professional discipline; embraces and applies new techniques and practices
• Is naturally sought out by people outside his/her particular area for advice and opinion on a broad range of matters - not necessarily solely legal advice.
• Demonstrates mastery of the technical competencies required in his/her work.
• Willingly shares information and expertise; sought out as resource by others

Needs Improvement		Fully Proficient		Excels/ Role Model
Click this box to make your rating

Comments:

Objectives

• Communicates goals and objectives to employees.
• Works toward achieving established goals and objectives.
• Establishes goals and objectives.
• Assures [Company] principles are understood, employed & pursued.
• Organizes and schedules events, activities, and resources.

Needs Improvement		Fully Proficient		Excels/ Role Model
Click this box to make your rating

Comments:

Trustworthy

• Communicates an understanding of the other person's interests, needs and concerns.
• Is a person you can trust.
• Demonstrates congruence between statements and actions.
• Delivers on promises made.
• Seeks to mitigate grievances by clarifying intentions and finding suitable remedies.

Needs Improvement		Fully Proficient		Excels/ Role Model
Click this box to make your rating

Comments:

Strengths


Areas for Development


Please give any final comments or suggestions for [Participant Name Here]'s assessment.